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📋 DOCUMENT OVERVIEW 99 Qs
This document, "NUR170 Exam 1," covers key topics in healthcare, including sentinel events, quality
assurance, mandatory reporting, six aims of healthcare, electronic medical records, and patient-centered
care. The document provides 99 questions with correct answers and detailed explanations, serving as a
comprehensive review resource for nursing students. By utilizing this document, students can study,
review, and solidify their understanding of these concepts, enhancing their knowledge and preparation
for exams.
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EXAM QUESTIONS
QUESTION 1
Sentinel Event
CORRECT ANSWER
an unexpected occurrence involving death or serious physical or psychological injury, or the RISK thereof
Ex. Falls, unexpected death, foreign body left inside after surgery, etc.
RATIONALE: A sentinel event is defined as a sudden and unexpected occurrence that has the potential to cause
significant harm or injury, such as death, serious physical or psychological trauma, or a risk thereof, which requires
immediate attention and action to prevent similar incidents from happening. This definition highlights the importance of
swift response and prevention in healthcare settings to mitigate the risk of such events occurring.
QUESTION 2
Root Cause Analysis
CORRECT ANSWER
Happens after a sentinel event to find the cause of a sentinel event.
RATIONALE: Root Cause Analysis is a method used to identify the underlying cause of a significant event, also known as
a sentinel event, that has a major impact on patient safety and healthcare quality. By conducting a thorough analysis
after a sentinel event, healthcare professionals can determine the specific cause of the event, implement corrective
actions to prevent future incidents, and ultimately improve patient care and outcomes.
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, QUESTION 3
Quality Assurance
CORRECT ANSWER
Keeps track of sentinel events, and works to educate staff on how to avoid them
RATIONALE: This answer is correct because quality assurance is a process aimed at identifying and mitigating potential
risks or hazards in a healthcare setting, such as sentinel events, through education and training of staff. By educating
staff on how to avoid sentinel events, the goal is to prevent these adverse occurrences from happening in the first place,
thereby ensuring high-quality patient care.
QUESTION 4
Mandatory Reporting
CORRECT ANSWER
Child or elder abuse, gun violence or burns, penetration wounds, infectious disease, coworkers under the
influence. You have the suspicion of it, but not the evidence to back it up. You are not entitled to do your
own investigation
Ensure you are following your institution/facility's chain of command when reporting
RATIONALE: Mandatory reporting is a legal requirement that ensures the protection of vulnerable individuals by
requiring professionals to report suspected cases of abuse or harm, even if they lack concrete evidence, as delaying
reporting can exacerbate the situation. By following the institution's chain of command, professionals can ensure that
reports are handled appropriately and that necessary actions are taken to protect the individual, while also maintaining
their professional obligations and avoiding potential legal repercussions.
QUESTION 5
Six Aims of Healthcare (Quality Improvement)
CORRECT ANSWER
Safe, effective, patient-centered, timely, efficient, equitable
Pearson, pg 2858
RATIONALE: The "Safe, effective, patient-centered, timely, efficient, equitable" statement accurately represents the Six
Aims of Healthcare because it adheres to the Institute of Medicine's (now known as the National Academy of Medicine)
original framework, where each word corresponds to a specific aim in healthcare quality improvement. This framework
serves as a guiding principle for healthcare providers to ensure that patients receive comprehensive, high-quality care
that meets their needs in a timely and efficient manner.
QUESTION 6
Electronic Medical Record
CORRECT ANSWER
Focuses on diagnosis and treatment. Stays within a clinical setting
RATIONALE: This answer is correct because an Electronic Medical Record (EMR) is a digital version of a patient's medical
history, treatment plans, and clinical information that is typically stored and accessed within a clinical setting, such as a
hospital or doctor's office. The primary purpose of an EMR is to support clinical decision-making and patient care, making
it focused on diagnosis and treatment within a healthcare environment.
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, QUESTION 7
Electronic Health Record
CORRECT ANSWER
Gives broader view on a patient's health. Designed to be viewed in multiple disciplines, and provides
patients with more comprehensive management of health
RATIONALE: An Electronic Health Record (EHR) gives a broader view on a patient's health by compiling comprehensive
medical information from various sources and disciplines, allowing healthcare professionals to access and share accurate,
up-to-date patient data. This enables a more collaborative and holistic approach to patient care, ultimately providing
patients with more effective and comprehensive management of their health.
QUESTION 8
Good Faith Immunity
CORRECT ANSWER
Healthcare workers are protected from civil or criminal liabilities when they report suspected child abuse
in good faith.
RATIONALE: Good Faith Immunity protects healthcare workers from civil or criminal liabilities when they report
suspected child abuse because it acknowledges that their intention is to act in the best interest of the child, prioritizing
their safety and well-being. This immunity is granted to encourage healthcare workers to report suspected cases without
fear of retribution, ensuring that vulnerable children receive timely help and support.
QUESTION 9
Is mandatory reporting a violation of HIPAA?
CORRECT ANSWER
NO. Mandatory reporting may force the healthcare provider to reveal protected health information to the
person doing the investigation (diagnosis, patient's name, age, address, etc.) and is not a considered a
violation of HIPAA.
RATIONALE: Mandatory reporting allows healthcare providers to disclose protected health information (PHI) in situations
where it is necessary to prevent harm to others, which is an exception to HIPAA's general rule of confidentiality. This
exception is specifically allowed under HIPAA's "public health and safety" and "report of abuse, neglect, or domestic
violence" provisions, making such disclosures not considered a violation of HIPAA.
QUESTION 10
Negligence
CORRECT ANSWER
A nurse fails to implement safety measures for a client
Ex. A nurse does not follow safety measures for a client at risk for falls, and the patient falls as a result
RATIONALE: Negligence in this scenario involves a failure to exercise the standard of care expected of a nurse, resulting
in harm to the client. The nurse's failure to implement safety measures for a client at risk for falls demonstrates a breach
in this standard of care, ultimately leading to the patient's fall and harm.
QUESTION 11
Malpractice
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